<!DOCTYPE html>
<html>
<head>
	<meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale = 1, user-scalable=0" />
	<meta charset="utf-8">
	<title>个人信息登记</title>
	<link rel="stylesheet" type="text/css" href="../static/css/elec/index.css">
</head>
<body>
	<!-- 家园logo图标 -->
	<div class="logo">
		<img src="../static/images/logo.png">
	</div>

	<!-- form提交表单 -->
	<form method="post" action="{{action}}" onsubmit="return submitTest();">

	<!-- 寝室号 -->
	<div class="room">
		<p class="roomp">
			寝室序号:
		</p>
		<input type="text" placeholder="如050534" class="roomnumber" name="dom_num" />
		<p class="wrong1">
			请输入正确的寝室号
		</p>
		<p class="wrong3">
			医学院以Y开头
		</p>
	</div>

	<!-- 联系方式 -->
	<div class="information">
		<p class="informationp">
			联系方式:
		</p>
		<input type="text" placeholder="手机或邮箱(选填)" class="phone" name="contact_info" />
		<p class="wrong2" style="display: {{display}}">
			请输入有效的联系方式
		</p>
	</div>

	<!-- 按钮 -->
	<div class="button">
		<input type="submit" id="submit" class="button1" value="提 交" />
	</div>
	</form>

	<!-- 底部版权 -->
	<div class="footer">
		<p>&copy  家园工作室</p>
	</div>

	<script type="text/javascript" src="../static/js/elec/index.js"></script>
    <div style="display: none">
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</body>
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